HUNTER INFORMATION SHEET
(This form has been created so that you can easily copy and paste it onto an email or document to send it to your outfitter, PH or family member… I would also recommend you to take a copy or two along with you on your trip in case you need it).

HUNTER
Last Name:
First Name:
Address:
City:
State:
Zip Code:
Country:
Home Telephone Number:
Work Telephone Number:
Cell Phone Number:
Fax Number:
Email Address:

GUEST(S)
Full Name:
Relationship to You:
Full Name:
Relationship to You:

EMERGENCY CONTACTS
Full Name:
Relationship to You:
Telephone Number:
Email Address:

Full Name:
Relationship to You:
Telephone Number:
Email Address:

PASSPORT DETAILS
Citizenship:
Passport Number:
Issued At:
Issued On (mm/dd/yy):
Expiration Date (mm/dd/yy):
Place of Birth:
Date of Birth (mm/dd/yy):

TRAVEL DETAILS
Travel Agency Name:
Travel Agent Name:
Travel Agency Telephone:
Travel Agency Email:

Destination of Arrival:
Arrival Date (mm/dd/yy):
Arrival Time:
Airline:
Flight Number:
Other:

Destination of Departure:
Departure Date (mm/dd/yy):
Departure Time:
Airline:
Flight Number:
Other:

SAFARI DETAILS
Hunting Agency Name:
Hunting Agent Name:
Hunting Agency Telephone:
Hunting Agency Cell Phone Number:
Hunting Agency Email:
Hunting Agency Country:

Hunting Outfit Name:
Hunting Outfitter Name:
Hunting Outfit Telephone:
Hunting Outfit Cell Phone Number:
Hunting Outfit Email:
Hunting Outfit Country:

Professional Hunter Name:
Professional Hunter Telephone:
Professional Hunter Cell Phone Number:
Professional Hunter Email:
Professional Hunter Country:

Safari/Hunt Country:
Safari/Hunt Start Date (mm/dd/yy):
Safari/Hunt End Date (mm/dd/yy):
Number of Hunting Days:
Bow or Rifle Hunt:
1X1 or 2X1 Hunt:
Hunting Package:

REST DAY(S) / EXCURSION(S) DETAILS
List here any other information that you wanted to share with others.

HUNTING TROPHY PREFERENCES
List Species of High Priority:
List Species of Medium Priority:
List Species of Low Priority:

FIREARMS & AMMUNITION DETAILS / BOW & ARROW DETAILS
Make:
Model:
Caliber:
Serial Number:
Ammunition Number of Rounds:

Make:
Model:
Caliber:
Serial Number:
Ammunition Number of Rounds:

Make:
Model:
Caliber:
Serial Number:
Ammunition Number of Rounds:

TAXIDERMY COMPANY DETAILS
Taxidermy Company Name:
Taxidermist Name:
Taxidermy Company Telephone:
Taxidermy Company Email:

TROPHY SHIPMENT DETAILS
Name of Company:
Contact Name:
Address:
City:
State:
Zip Code:
Country:
Telephone Number:
Cell Phone Number:
Fax Number:
Email Address:

MEDICAL/EVACUATION EMERGENCY INFORMATION
Company Name:
Company Telephone:
Company International Emergency Number:
Company Email:
Policy Number:

MEDICAL DETAILS
Height:
Weight:
Blood Type:
Medication:
Food Allergies:
Other Allergies:
Name of Anti-Malaria Drug:
Please indicate if you have any medical or health conditions we should know about:

DIETARY DETAILS
Food Dislike:
Soft Drink Preferences:
Alcohol Drink Preferences:
Please indicate if you have any dietary requirements that we should know about:

NOTE
List here any other information that you wanted to share with others.